- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03181854
Randomized Controlled Trial of Integrated Early Palliative Care
Randomized Controlled Trial of Integrated Early Palliative Care for Advanced Cancer Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Previous reports suggest that starting palliative care early in cancer patients appears to improve patient's quality of life, symptom management, depression, and anxiety.
This study aims to evaluate the effect of the introduction of early palliative care services to advanced cancer patients. Eligible patients are 20 years or older, and has an advanced cancer diagnosis (histologically or cytologically confirmed) due to a solid tumor, a European Cooperative Oncology Group performance status of 0-2, an estimated life expectancy of 12 months or less. The primary goal of an integrated early palliative care program is to improve the overall quality of life of patients and their families. Secondarily, it is to help understand the disease, resolving conflicts in the decision-making process, improving the crisis coping capacity, and further determining the patient's and family's advanced care planning. At last, it is desired to evaluate the effect of the program on overall medical cost savings and 1 year survival.
Participants of the study will be allocated in the intervention group and the control group equally. Within three weeks from the time of randomization, the first meeting with a palliative care team will be held. In the time of baseline questionnaire, patients will be provided with self-study education materials and videos on the early palliative care and advance care planning. Once in every three weeks for six months, which is the duration for one treatment course, palliative care for advance care planning, symptom control, and other mental, social and spiritual problems will be provided. After the first meeting with the palliative care team, telephone coaching will be performed once a week for the first 12 weeks and then every two weeks until the end of the study.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Daejeon, Korea, Republic of, 35015
- Chungnam National University Hospital
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Seoul, Korea, Republic of, 03080
- Seoul National University Hospital
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Seoul, Korea, Republic of, 03722
- Severance Hospital
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Seoul, Korea, Republic of, 05505
- Asan Medical Center
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Seoul, Korea, Republic of, 07985
- Ewha Womans University Mokdong Hospital
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Ulsan, Korea, Republic of, 44033
- Ulsan University Hospital
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Gyeonggi-do
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Seongnam-si, Gyeonggi-do, Korea, Republic of, 13620
- Seoul National University Bundang Hospital
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Gyeongsangnam-do
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Jinju-si, Gyeongsangnam-do, Korea, Republic of, 52727
- Gyeongsang National University Hospital
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Jeollabuk-do
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Jeonju, Jeollabuk-do, Korea, Republic of, 54907
- Chonbuk National University Hospital
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Jeollanam-do
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Hwasun, Jeollanam-do, Korea, Republic of, 58128
- Chonnam National University Hwasun Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject 20 years and older.
- Subject who has an advanced cancer diagnosis (histologically or cytologically confirmed) due to a solid tumor
- Subject whose ECOG performance status is between 0 to 2.
- Subject with an estimated life expectancy of 12 months and less (assessed by the treating oncologist)
- Subject who volunteers
Exclusion Criteria:
- Inability to speak, understand or write Korean.
- Medical conditions that would limit adherence to participation of the clinical trial(as confirmed by their referring physician; e.g. dyspnea)
- Suspension of all cancer treatment
- Palliative care consultation at any time or in palliative care
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Intervention group
Consultation with PCT doctor every 3 weeks.
Telephone coaching once a week for 3 months and once in 2 weeks for another 3 months.
|
Telephone coaching about overcoming the crisis is provided once a week for 3 months and once in 2 weeks for another 3 months.
Consultation with PCT physician every 3 weeks.
|
NO_INTERVENTION: Control Group
Usual palliative care can be provided if desired.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in level of EORTC QLQ-C15-PAL
Time Frame: baseline, 12 weeks, 18 weeks, 24 weeks
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A questionnaire developed to assess the quality of life of palliative cancer care patients.
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baseline, 12 weeks, 18 weeks, 24 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in level of MQOL
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
|
A questionnaire that measures psychological, existential well-being, and support.
|
Baseline, 12 weeks, 18 weeks, 24 weeks
|
Change in level of EQ-5D of EuroQoL
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
|
A questionnaire that measures mobility, self-care, daily activity, pain/discomfort, and anxiety/depression.
|
Baseline, 12 weeks, 18 weeks, 24 weeks
|
Change in level of PHQ-9
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
|
9-question instrument given to patients in a primary care setting to screen for the presence and severity of depression.
|
Baseline, 12 weeks, 18 weeks, 24 weeks
|
Change in level of Understanding the illness
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
|
2 questions to assess how patients understand the prognosis of their illness
|
Baseline, 12 weeks, 18 weeks, 24 weeks
|
Change in level of Crisis Overcoming Capability(SAT-SF)
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
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A questionnaire about goal of life, current crisis/goal, positivity, preparation and practice.
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Baseline, 12 weeks, 18 weeks, 24 weeks
|
Change in Advance Care Preference
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
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Questions about advance directive and treatment preference in case of terminal condition
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Baseline, 12 weeks, 18 weeks, 24 weeks
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Medical cost and utilization of CAM
Time Frame: 12 weeks, 24 weeks
|
Overall medical cost savings (cost effectiveness) and use of complementary and alternative medicine
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12 weeks, 24 weeks
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1 year survival
Time Frame: 1 year
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1 year survival
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1 year
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Changes of CQOL
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
|
A questionnaire that measures quality of life and burden for family caregivers
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Baseline, 12 weeks, 18 weeks, 24 weeks
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Change in level of PHQ-9 of family caregivers
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
|
9-question instrument given to caregivers in a primary care setting to screen for the presence and severity of depression.
|
Baseline, 12 weeks, 18 weeks, 24 weeks
|
Change in level of Understanding the illness of family caregivers
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
|
2 questions to assess how family caregivers understand the prognosis of patients' illness
|
Baseline, 12 weeks, 18 weeks, 24 weeks
|
Change in level of Crisis Overcoming Capability(SAT-SF) of family caregivers
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
|
A questionnaire about goal of life, current crisis/goal, positivity, preparation and practice of family caregivers.
|
Baseline, 12 weeks, 18 weeks, 24 weeks
|
Change in Advance Care Preference of family caregivers
Time Frame: Baseline, 12 weeks, 18 weeks, 24 weeks
|
Questions about family caregivers' preference on advance directive and treatment in case of terminal condition
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Baseline, 12 weeks, 18 weeks, 24 weeks
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Change in Quality Care Questionnaire
Time Frame: Baseline, 12 weeks, 3 months after death
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The 4-factor, 32-item Quality Care Questionnaire-Palliative Care (QCQ-PC), which covers appropriate communication with health care professionals (ten items), discussing value of life and goals of care (nine items), support and counseling for needs of holistic care (seven items), and accessibility and sustainability of care (six items).
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Baseline, 12 weeks, 3 months after death
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Collaborators and Investigators
Collaborators
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HC15C1391-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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